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Say Ahhh!

  • New Report Finds ACA Had Little Impact on Employer Sponsored Health Plan Enrollment

    The Affordable Care Act’s employer mandate on large businesses barely had an impact on enrollment in employer-sponsored health plan enrollment in the past year, according to a new survey released by Mercer, a human resources consulting firm. Between 2014 and 2105, employers reported very little change regarding the average number of full- and part-time workers…

  • Reports: Job Creation Up, Hospital Costs & Uninsured Rates Down in Medicaid Expansion States

    The US Department of Health and Human Services has two new short briefs out today assembling the most recent research and reports on the economic impact of Medicaid expansion across the country. The data on the huge drop in uncompensated care costs among hospitals is particularly startling. The reports also note recent overall economic impact…

  • What’s at stake without a quick, clean renewal of CHIP funding? Our historic success covering kids.

    A timely analysis from our friends at the Urban Institute this week quantifies the high stakes of the current deal making around CHIP. The outcome, along with the looming Supreme Court decision, will determine whether we move backwards on our success covering children or maintain the strong system of coverage that has successfully served low-income…

  • Medicaid Block Grant Plan Resurfaces in Budget Proposals – Would Shift Costs to States

    By Sean Miskell Though my creative side longs to contribute novel analysis and insight to the health policy world, too often reality makes doing so difficult. Such is the case this week, as both the House and Senate Budget Committee have submitted proposals that would restructure Medicaid as a block grant to states and repeal…

  • Tennessee: Medicaid Expansion is a Debate Among Conservatives (Video)

    Given the highly charged partisan nature of debate over the Affordable Care Act, sometimes it’s easy to forget that the debate in states over accepting the ACA’s funding for state Medicaid expansion efforts is largely a debate among Republicans. In Washington the ideological debate between the parties centers around repeal of the ACA.  In the states however,…

  • Florida Consumer Reporter Takes on Complicated Task of Explaining the Coverage Gap

    Say Ahhh! is excited to welcome Florida Legal Services to the health policy blogosphere.  The new blog will focus on issues surrounding the Affordable Care Act, Medicaid expansion, and Medicaid Managed Care in Florida.  Contributors include staff members working on health law throughout the state of Florida.  Please check out this fantastic new resource for those…

  • Good News for Kids: Bipartisan Support for CHIP Emerging in Congress

    Since CHIP’s inception it has been described as a bipartisan program with support from both Republicans and Democrats at both the state and federal levels. In a time of intense partisanship in health policy, whether this would hold true as Congress considered the extension of CHIP funding this year was an open question. As readers…

  • States Can’t Always Be Relied On To Do The Right Thing For Kids

    By Joan Alker and Sean Miskell, As Congress continues to mull over the future of the Children’s Health Insurance Program, we at CCF continue to mull over the policy implications for children of various proposals put forth. As regular readers of Say Ahhh! know, a recently released discussion draft by Senator Hatch, and Reps Upton…

  • Confused About What Happens at Tax Time (Part Two)? People in Immigrant Families

    Now that we are knee-deep in tax season, we have heard reports of confusion about new tax filing rules related to health coverage for people in immigrant families. Here are some of the common questions we’ve heard so far and our answers. Q: Are noncitizens subject to the tax penalty (or the individual shared responsibility…

  • MACPAC to Congress: Extend CHIP Funding and Maintain Current Program Structure

    On Tuesday, MACPAC released a comment letter to the Chairman and Ranking Members of the Senate Committee on Finance and House of Representatives Committee on Energy and Commerce. In the letter, commissioners urge Congress to extend funding for CHIP quickly and cleanly for two more years and reiterate their support for the program. The MACPAC…

  • Florida Senate Comes Out Swinging to Close the Coverage Gap

    Last week the Florida legislature began its regular session – scheduled to end in the first week in May. As regular readers of Say Ahhh!! know, I have been expecting a more robust debate there this year due to the expiration of the Low Income Pool funding that Florida receives through its Section 1115 waiver…

  • NBER Report: Childhood Medicaid Coverage Leads to Better Health Outcomes

    A new study joins a growing body of literature that sheds light on the long-term benefits and cost savings of expanding access to public health insurance. In “Childhood Medicaid Coverage and Later Life Health Care Utilization,” a working paper published by the National Bureau of Economic Research (NBER), the authors conclude that expanding Medicaid eligibility…

  • Confused about What Happens at Tax Time? FAQs on Penalties, Exemptions, Reconciliation, and SEPs:

    By  Tricia Brooks, Sandy Ahn, Sabrina Corlette, and JoAnn Volk As part of our Robert Wood Johnson Foundation funded work in providing technical assistance to consumer assisters in five states, we are getting a lot of questions about issues related to tax time and health coverage. Here are some of the common questions and answers.…

  • Expansions of Medicaid for Pregnant Women Foster Healthy Development into Adulthood

    By Sophia Duong and Tricia Brooks In an earlier blog post, we discussed how cutting Medicaid eligibility for pregnant women is a short-sighted policy decision. There are a number of negative consequences that arise in the short-term for pregnant women and newborn babies. And now, we know that there could also be significant long-term consequences.…

  • ‘State Flexibility’ Proposals in Hatch-Upton-Pitts CHIP Discussion Draft Puts Kids Coverage at Very Serious Risk

    The discussion draft on how to extend the Children’s Health Insurance Program (CHIP) recently released by Republican leaders includes a number of provisions that will put children at significant risk of losing their CHIP coverage and becoming uninsured if these proposals were to become law. I blogged about the discussion draft in some detail last…

  • King v Burwell Could Undermine Coverage For Children: One More Reason Why We Need CHIP Funding Renewed Quickly

    Most of the conversation about the King v Burwell case has focused on which states would be affected, what would happen to insurance markets, or how many people would become uninsured as a result. But there’s one thing almost no one is talking about: how the decision might affect children’s coverage and why it’s another…

  • New Report: Hatch-Upton-Pitts Proposal Would Shift Costs to States and Move Backward on Kids’ Coverage

    As state legislatures work to finalize their state budgets for the next fiscal year, which begins on July 1 in most states, they are still uncertain about whether or not CHIP will be fully funded by Congress.  A new report by Edwin Park at the Center on Budget and Policy Priorites explains the dilemma facing…

  • Employed and Uninsured: Many Uninsured Working Adults Would Benefit from Medicaid Expansion

    As states considering Medicaid expansion explore their options in program design, work requirements have surfaced as part of the debate. While work requirements perhaps serve as a strong talking point in reluctant states, a recent report from the Kaiser Commission on Medicaid and the Uninsured finds that the majority of those who stand to benefit…

  • Republicans Introduce Discussion Draft of Plan to Extend (S)CHIP Funding – And There is Much to Discuss…

    Today the Republican Senate and House health leadership — House Energy and Commerce Health Subcommittee Chairman Joe Pitts (R-PA), full committee Chairman Fred Upton (R-MI), and Senate Finance Committee Chairman Orrin Hatch (R-UT) — released a discussion draft of a bill to extend funding for the Children’s Health Insurance Program (CHIP) (more on the name…

  • Many Qualify for Affordability Exemption to Tax Penalty

    With funding from the Robert Wood Johnson Foundation, we at Georgetown’s Center on Health Insurance Reforms and the Center for Children and Families have been providing technical assistance to Navigators and assisters in a handful of states, helping answer the questions they receive from consumers. As the second open enrollment period (OE2) winds down and attention turns…